Hilco-Banner Machine Vision Customer Evaluation Request Form
Note: You can also download and print out this form if you'd like to send it in with samples.
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* required field
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Email:
Project Name
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Company:
Part Name or #:
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Contact:
Machine or Plant Area:
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Phone:
Hilco Rep or Distributor Contact:
Inspection Parameters
Describe Inspection Below (such as presence/absence of, flaw detection of, orientation of, etc):
Describe Part Movement Below (such as indexed, constant speed, variable speed, etc.)
Measurement Parameters Below: (if applicable)
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What is the required Field of View (FOV) of the camera:
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What is the min/max mtg distance of the camera:
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What is the min/max mtg distance of the light:
How many parts, products and colors will run on this line? Describe Below:
Do you require programming or electrical/mechanical installation:
What is to happen if the camera signals a fault:
Who is responsible for the rejection station/equipment:
Who is responsible for mounting the camera, lighting, and wiring:
Who is responsible for programming the camera:
What does it cost to make bad parts? Have you made bad parts lately?
Is there a budget for this project? How much do you expect it to cost:
Have you ever used vision? Do you have vision in your plant? Which brand:
Who will get training on this product? Names:
How soon do you need a solution in place? Approx. date:
Application Notes and Specs:
Response Needed By:
Is it okay to dispose of samples:
